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  • Issue Brief posted March 5, 2014 by Drew Gonshorowski Compensation and Obamacare’s Impact on Low-Wage Workers

    In February, the Congressional Budget Office (CBO) released a budget outlook that showed significant changes in the effect of Obamacare on the supply of labor. This led to a furious outcry from Obamacare proponents and critics.[1] However, one additional bit of conversation seemed to get lost in the shuffle: The CBO clearly states that Obamacare will lower aggregate labor…

  • Issue Brief posted October 16, 2013 by Drew Gonshorowski How Will You Fare in the Obamacare Exchanges?

    There are literally no comparisons to current rates. That is, [the Department of Health and Human Services] has chosen to dodge the question of whose rates are going up, and how much. Instead they try to distract with a comparison to a hypothetical number that has nothing to do with the actual experience of real people. —Douglas Holtz-Eakin President, American Action…

  • Issue Brief posted August 16, 2013 by Drew Gonshorowski Medicaid Expansion and State-Level Evaluation in Virginia

    Many states have conducted various versions of evaluation of the budgetary effects of expanding Medicaid. One state in particular that has participated in a rather robust analytical discussion is Virginia. According to the Urban Institute, “Virginia exemplifies a state where public officials and private stakeholders have carefully analyzed multiple effects of the Medicaid…

  • Commentary posted July 17, 2013 by Drew Gonshorowski Medicaid Expansion Will Cost Pennsylvania

    Pennsylvania legislators recently declined to budget for a huge expansion of the state's Medicaid rolls, as envisioned in the 2010 Affordable Care Act, aka ObamaCare. That was a prudent decision. Before lawmakers think about pouring more people into the system, they should focus on reforms that will enable the state to better serve those already in the program. Lawmakers…

  • Issue Brief posted March 11, 2013 by Drew Gonshorowski The Affordable Care Act Negatively Impacts the Supply of Labor

    Labor market distortions are common within the Patient Protection and Affordable Care Act (PPACA/Obamacare). Employers are faced with uncertainty at every turn. As observed from the recently released Federal Reserve beige book, this uncertainty restrains hiring.[1] While substantial attention has been given to the employer side, the employee side also experiences many…

  • Issue Brief posted September 7, 2012 by Edmund F. Haislmaier, Drew Gonshorowski State Lawmaker’s Guide to Evaluating Medicaid Expansion Projections

    In its opinion on the Obamacare case, the Supreme Court found Congress exceeded its Constitutional authority by conditioning existing Medicaid funding on state adoption of the Medicaid expansion in Obamacare. The ruling effectively made the expansion optional. Supporters of Obamacare, as well as some health care stakeholders—particularly hospitals and clinics—have…

  • Issue Brief posted August 30, 2012 by Drew Gonshorowski Medicaid Expansion Will Become More Costly to States

    Under the Supreme Court’s ruling on the Affordable Care Act (ACA), states may choose to expand their Medicaid populations to include individuals below 138 percent of the federal poverty level, with the federal government picking up 100 percent of payments for the first three years and then rolling back federal payments. This structure is designed to be attractive to the…

  • Issue Brief posted June 21, 2012 by Drew Gonshorowski Health Reform and the Impact of Extending Dependent Coverage to Age 26

    Advocates of Obamacare claim that it is insuring more people under the age of 26, an accomplishment for which they are quite proud. Just this week, a report from the Department of Health and Human Services cites even greater success.[1] However, recent research shows that even with this provision, there are important, unrealized distortions and costs to the health care…

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